College of Engineering Perumon

Note:The application fee for B.Tech courses under NRI quota seats is Rs 600/-.The applicant have to remit the fee through SBI Collect

Application Fee Ref. No

(Application fee reference number)

Receipt of Fee Payment *

(Application fee receipt)

Personal Details

First Name *

Middle Name

Last Name

Gender *

Blood Group

Date of Birth *

Mother Tongue

Place of Birth

Nationality

Religion *

Caste *

Eligible Reservation Category

Economicaly Backward

Aadhar No

Differently Abled

Admission Details

Admission for *

Academic Year *

Quota *

Type

Course Opted *

Admitted Reservation Category

(As per allotment memo)

Fee Concession Eligibility

Income Category

Entrance Type

Entrance Roll No

Entrance Rank

Nativity

Qualification

Higher Secondary School Details

Board *

Year *

Reg No *

Higher Secondary Percentage Obtained ( HSE / VHSE kerala students should enter combined XI & XII marks and others need to enter XII marks only.)

Physics Mark *

Physics (%) *

Chemistry Mark *

(Chemistry / Computer Science / Bio-technology / Biology Mark)

Chemistry (%) *

Maths Mark *

Maths (%) *

Maths & Physics & Chemistry(%) *

Total Mark *

Overall (%) *

Secondary School Details (10th or Equivalent)

Board

Year

Reg No

TC Details

Last Institute (As per TC)

TC No

TC Date

Contact Details

Present Address

House Name *

Street *

Post / Street 2 *

District *

Pincode *

State *

Permanent Address [ same as present address ]

House Name *

Street *

Post / Street 2 *

District *

Pincode *

State *

Student Phone No *

Student Email *

Land Phone

Personal Marks for identification

Personal Marks 1

Personal Marks 2

Bank Details

Name of Bank

Account No

Name of Branch

IFSC Code

Hostel Facilities

Do you need Hostel Facilities

NoYes

Parent Details

Father's Name *

Mother's Name *

Father's Occupation

Mother's Occupation

Father's \ Guardian's Mobile No *

Mother's Mobile No

Parent Email *

Phone Office

Select Guardian

Annual Income

Name of Guardian

Relationship with the student

Address of Guardian

Guardian's No

Details of the Sponsor (NRI) who sponsored the applicant

Sponsor Name

(Name of the Sponsor (NRI))

Sponsor Relationship

(Relationship with the candidate)

Sponsor Passport No

(Passport No of the Sponsor)

Sponsor Passport Validity

(Validity of the Passport)

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Passport Size Photo

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Image crop / resize tool

Upload Your Signature

Signature

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Upload Parent's Signature

Parent Signature

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Declaration

I hereby certify that the details and documents submitted are correct to the best of my knowledge. I am fully aware that my admission will get cancelled if any of the uploaded documents found incorrect.

We shall abide by the rules and regulations prescribed in the CAPE Prospectus` 2022-23 for admission to the B.Tech courses under NRI quota offered in the self-financing Institutions under the Co-operative Academy of Professional Education (CAPE).

College of Engineering Perumon

BTECH Student Registration 2023-24